Laserfiche WebLink
Father, mother, son, daughter. brother, sister. uncle, aunt, first cousin. <br />nephew, niece, husband. wife, father-in-law, another -in-law. daughter- <br />in-law, son-in-law, brother-in-law. sister-in-law, stepfather, stepmother, <br />stepson, stepdaughter, stepbrother. stepsister, half brother. half sister, <br />grandparent, or grandchild. <br />6. Based on information and belief. the statement which i have marked below is <br />true in relation to the entity submitting this•sworn statement. [Please indicate which <br />statement applies.] <br />x Neither the entity submitting this sworn statement, nor any officers, directors, <br />executives, partners, shareholders, employees, members, or agents who are <br />active in management of the entity, have any relationships as defined in <br />section 105.03, Indian River County Code, with any County Commissioner <br />or <br />County employee. <br />The entity submitting this sworn statement, or one or more of the officers, <br />directors, exectinves, partners, shareholders, employees, members, or agents, <br />who are active in management of the entity have the following relationships <br />with a County Commissioner or County employee: <br />Name of Affiliate Name of County Commissioner Relationship <br />or entity or employee <br />(signature) <br />ZZI <br />(date) <br />STATE OF 6%JG <br />COUNTY OF 1 kaC,�V <br />28 <br />